Lakeline Ranch Dental
Lakeline Ranch Dental is a Preferred Provider Organization in Austin, Texas. Licensed in Texas. Registered with an NPI since 2014.
- Licensed in
- TX
- In the registry since
- 2014
Practice location Address checks out
10900 Lakeline Mall Dr Ste 250Austin, TX 78717-5924
Phone: (512) 583-0700
Fax: (512) 583-0700
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 25493 (TX) |
|---|
Record details
| NPI number | 1972926699 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ardalan Zahedi — Owner · (512) 583-0700 |
| NPI enumerated | January 31, 2014 |
| Last updated in NPPES | January 31, 2014 |
| Mailing address | 10900 Lakeline Mall Dr, Suite 250, Austin, TX 78717-5924 |
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